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Mr. Samuel Emmanuel Dickerson, LPN
Licensed Practical Nurse in Roosevelt, New York
NPI 1902139447

Samuel Emmanuel Dickerson is a Licensed Practical Nurse based in Roosevelt, NY. Samuel Emmanuel Dickerson practices in Roosevelt, NY and has the professional credentials of LPN. The NPI Number for Samuel Emmanuel Dickerson is 1902139447 and holds a License No. 241150-1 (New York).

The current practice location address for Samuel Emmanuel Dickerson is 95 W Greenwich Ave, Roosevelt, NY and can be reached out via phone at 516-481-3421 and via fax at 516-665-3798.

Location: 95 W Greenwich Ave, Roosevelt, NY, 11575-1035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902139447
Provider Name
Samuel Emmanuel Dickerson
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
95 W Greenwich Ave, Roosevelt, NY, 11575-1035
Phone Number
516-481-3421
Fax Number
516-665-3798
Provider Enumeration Date
09/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
95 W Greenwich Ave
City
Roosevelt
State
New York
Zip
11575-1035
Phone Number
516-481-3421
Fax Number
516-665-3798
person
Provider Business Mailing Address Details
Address
95 W Greenwich Ave
City
Roosevelt
State
New York
Zip
11575-1035
Phone Number
516-481-3421
Fax Number
516-665-3798
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
241150-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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